NPI | 1922119338 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NE 13497) |
Additional Taxonomies | 207P00000X Emergency Medicine (Licence: NE 13497) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2011-03-03 |